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Ethnicity and Health Care

Every patient was treated by at least one of the ninety primary care physicians working at one of the fourteen Harvard Vanguard Medical Associates clinics in the eastern part of Massachusetts. Each of the physicians treated no less than five black patients and five white patients. The researchers studied the medical files of the patients for three measures of diabetes control, including hemoglobin A1C, LDL cholesterol, and blood pressure.

The findings showed that while similar numbers of white and black patients were tested, fewer black patients had adequate control of the ideal levels on each of the tests. The study found that 71% of the white patients had good control over their blood glucose levels, as compared with only 63% of black patients. Researchers established that socioeconomic issues contribute to racial disparities from 13% to 38%. After amending the findings for the clinical differences common among patients, the researchers also found that 66% to 75% of these disparities were accounted to the patient receiving treatment from the same physician.

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